Wrinkles are much worse on upper and lower cheek and skin feels very crepey after Botox and Restylane. (Photo)

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

It takes 1-2 weeks for final results. If you're unhappy with your final results with filler, you can have it reversed with hyaluronidase and try a different technique next time. Venus legacy treatments can soften Botox results. See an expert. Best, Dr. Emer

Thank you for your question. It is too early to determine your results with Botox as it takes up to 2 weeks to see final results. If you are unhappy with your Restylane results it can be dissolved with hyaluronidase. I advise you to follow up with your injector after 2 weeks for an evaluation and to discuss any concerns you may have. Best of Luck!